A Virginia OB-GYN charmed his patients for decades while he was scarring them for life, often at taxpayer expense.
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Medicare regulations allow DME providers to bill insurers and patients over a 13 month period for goods, after which they are paid off and owned by the patient. By law, if a patient changes insurers in under 13 months, the billing restarts for 13 MORE months to the new insurer and patient without providing new equipment or considering what has already been paid by the previous insurer.
I am now on the third 13 month cycle of payment for a CPAP machine, which means I and my different insurers which I’ve started with every January (my most recent insurer has ceased to continue providing a Medicare Advantage product in my area) will have paid for my machine almost 3 times. This seems to be fraudulent billing activity, but I have been assured it is legal due to Medicare regulations which congress controls.
I have asked my state senators to address this, along with my various insurers over the past 3 years and have received no help on correcting this atrocity.
With the millions of Americans who receive DME through Medicare, this has a broad effect and impact on Medicare and patient spending that needs to be corrected!
Thanks for listening and perhaps investigating further to open more eyes to the need to address and change this regulation!